A Tale of a Life-Threatening Twist: A Rare Case of Transverse Colonic Volvulus in an Infant
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View abstract on PubMed
Summary
This summary is machine-generated.Transverse colon volvulus (TCV) in children, often due to intestinal malrotation, requires prompt diagnosis. This case underscores the critical role of imaging in identifying TCV for timely surgical intervention and improved outcomes.
Area Of Science
- Pediatric Surgery
- Gastroenterology
- Diagnostic Imaging
Background
- Transverse colon volvulus (TCV) secondary to intestinal malrotation is a rare pediatric condition.
- Delayed diagnosis of TCV can lead to severe complications, including bowel necrosis.
Purpose Of The Study
- To highlight the diagnostic challenges and critical importance of prompt recognition of TCV in pediatric patients.
- To emphasize the role of advanced imaging in timely diagnosis and management of TCV.
Main Methods
- Case report of a nine-month-old male presenting with acute abdominal distension and septic shock.
- Utilized plain radiography, ultrasound, and contrast-enhanced barium enema for diagnosis.
- Performed emergent laparotomy for surgical management.
Main Results
- Initial imaging was equivocal, but barium enema confirmed TCV with a characteristic "beaked" appearance.
- Laparotomy revealed extensive bowel necrosis due to volvulus-induced ischemia.
- Successful surgical management including ileocolectomy and staged reconstruction led to full recovery.
Conclusions
- TCV secondary to intestinal malrotation, though rare, must be considered in pediatric patients with acute abdominal symptoms.
- Dynamic contrast-enhanced imaging is indispensable for accurate diagnosis and timely surgical intervention in pediatric colonic volvulus.
- Prompt diagnosis and management significantly reduce morbidity and mortality in affected children.
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